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. 2019 Mar 1;11(2):93-100.
doi: 10.1093/inthealth/ihy077.

Pilot testing of an online training module about screening for acute HIV infection in adult patients seeking urgent healthcare

Hannah Rafferty  1 , Oscar Chirro  1 , Clifford Oduor  1 , Elizabeth Wahome  1 , Caroline Ngoi  1 , Elise van der Elst  1 , René Berger  2 , Sarah Rowland-Jones  3 , Susan M Graham  4 , Eduard J Sanders  1   3
Affiliations

Pilot testing of an online training module about screening for acute HIV infection in adult patients seeking urgent healthcare

Hannah Rafferty et al. Int Health. .

Abstract

Background: Acute HIV infection (AHI) is the phase of HIV infection immediately after acquisition, during which many patients develop symptoms and often seek healthcare. However, clinicians in sub-Saharan Africa are not currently taught about AHI.

Methods: This study pilot-tested a self-directed AHI training module among clinical officers (COs) in coastal Kenya and assessed knowledge gained and challenges to instituting screening. The training module included four domains: AHI definition and importance of AHI recognition; symptoms and screening algorithms; diagnostic strategies; and management. AHI knowledge was assessed before and immediately after training. Participants' ability to utilize an AHI screening algorithm was evaluated with a case-based exercise.

Results: Self-directed training was completed by 45 COs. Pre-test scores were low (median score 35% IQR 30-45%), but improved significantly after training (median post-test score 75%, IQR 70-85%, Wilcoxon signed-rank test p<0.0001). Participants had challenges in understanding the utility and application of a screening algorithm to identify patients for whom AHI testing would be indicated. Knowledge of AHI was poor at baseline, but improved with self-directed learning. Based on these findings, we revised and improved the AHI training module and pre- and post-assessments, which are now freely available online at www.marps-africa.org.

Conclusions: Guidelines on AHI screening and diagnosis are urgently needed in high HIV transmission areas.

Keywords: acute HIV infection; febrile patient; online learning; screening algorithm; self-directed learning.

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Figures

Figure 1.
Figure 1.
Flow chart for management of patient aged 18–35 seeking care for symptoms.
See this image and copyright information in PMC

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